Abstract

Contraceptive use among adolescent girls in Indonesia remains low. This study examined factors associated with contraceptive knowledge and use among urban and rural adolescent girls using data from the 2017 Indonesia Demographic and Health Survey (IDHS), which employed two-stage stratified sampling across all 34 provinces. We applied multivariable binary logistic regression to a weighted sample of 7936 adolescent girls. Factors significantly associated with contraceptive knowledge included awareness of pregnancy prevention methods, condom use, internet access, peer discussions, and exposure to family planning information through media and online sources (p < 0.05). Contraceptive use was linked to fertility awareness, peer discussions, health facility visits, and information from health workers. Improving access to family planning information through school-based programs and community engagement is recommended. This study helps readers understand adolescent contraceptive use and provides insights into the challenges faced within Indonesia’s culturally sensitive context.